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Georgia rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.18 / $4,105.64 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.16 / $396.92 / $920.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.47 / $498.24 / $715.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $3,851.83 / $19,708.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.39 / $522.96 / $979.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.32 / $2,811.32 / $2,811.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.80 / $615.21 / $969.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.64 / $473.23 / $1,670.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.86 / $459.53 / $703.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $2,959.00 / $14,884.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.28 / $538.92 / $849.63